Individual
BRENDA HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP, LCSW
Contact information
Practice address
35 S G ST, LAKEVIEW, OR 97630-1817
(541) 947-6021
Mailing address
357 S F ST, LAKEVIEW, OR 97630-1744
(541) 947-6021
(541) 219-8114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60461755
WA
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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